Supporting cancer-related fatigue self-management: A conversation analytic study of nurse counsellor and cancer survivor consultations.

Agbejule, OA; Ekberg, S; Hart, NH; Chan, RJ

Supporting cancer-related fatigue self-management: A conversation analytic study of nurse counsellor and cancer survivor consultations.

Agbejule, OA Ekberg, S Hart, NH Chan, RJ

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Publisher:: ELSEVIER SCI LTD
Publication Type:: Journal Article
Citation:: Eur J Oncol Nurs, 2024, 73, pp. 102726
Issue Date:: 2024-12

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Field	Value	Language
dc.contributor.author	Agbejule, OA
dc.contributor.author	Ekberg, S
dc.contributor.author	Hart, NH
dc.contributor.author	Chan, RJ
dc.date.accessioned	2025-01-10T04:21:23Z
dc.date.available	2024-11-01
dc.date.available	2025-01-10T04:21:23Z
dc.date.issued	2024-12
dc.identifier.citation	Eur J Oncol Nurs, 2024, 73, pp. 102726
dc.identifier.issn	1462-3889
dc.identifier.issn	1532-2122
dc.identifier.uri	http://hdl.handle.net/10453/183192
dc.description.abstract	PURPOSE: Cancer-related fatigue (CRF) is a prevalent and distressing symptom experienced by people affected by cancer. A breakdown of the clinician-patient partnership and suboptimal clinician communication has been identified as a significant barrier to implementing into clinical practice effective self-management strategies for CRF. This study examined the use and impact of communication practices employed by trained cancer nurse counsellors when providing CRF self-management support to cancer survivors. METHODS: Interactions from 41 telehealth consultations between three nurse counsellors and 23 cancer survivors in a CRF self-management support clinic in Queensland, Australia were recorded and analysed using conversation analysis methods. RESULTS: Analysis found that in instances where nurses established the agenda of a consultation from the outset of a session (e.g., focusing on fatigue self-management support), cancer survivors displayed clearer understandings of their self-management role, the tasks, and goals of a session; and displayed less difficulty engaging in supportive care discussions. Furthermore, clinicians used formulation practices, such as summarising dialogue, to sustain focus on fatigue during consultations, and to close discussion matters not ostensibly pertinent to fatigue self-management planning supporting the goals of the CRF SMS clinic consultations. CONCLUSION: For supportive care sessions targeting fatigue management, clinicians should ideally focus discussion on CRF support early, by clearly introducing the agenda at the outset of the consultation while also asking for client agreement. Periodically summarising patient's talk allows clinicians to maintain a focus on matters relevant for self-management fatigue planning and provide support within the typically constrained timeframes allocated for addressing CRF.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCI LTD
dc.relation	http://purl.org/au-research/grants/nhmrc/2017080
dc.relation.ispartof	Eur J Oncol Nurs
dc.relation.isbasedon	10.1016/j.ejon.2024.102726
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1112 Oncology and Carcinogenesis
dc.subject.classification	Nursing
dc.subject.classification	3211 Oncology and carcinogenesis
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Fatigue
dc.subject.mesh	Female
dc.subject.mesh	Self-Management
dc.subject.mesh	Male
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Neoplasms
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Queensland
dc.subject.mesh	Nurse-Patient Relations
dc.subject.mesh	Communication
dc.subject.mesh	Telemedicine
dc.subject.mesh	Self Care
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Fatigue
dc.subject.mesh	Self Care
dc.subject.mesh	Communication
dc.subject.mesh	Nurse-Patient Relations
dc.subject.mesh	Telemedicine
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Queensland
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Self-Management
dc.title	Supporting cancer-related fatigue self-management: A conversation analytic study of nurse counsellor and cancer survivor consultations.
dc.type	Journal Article
utslib.citation.volume	73
utslib.location.activity	Scotland
utslib.for	1110 Nursing
utslib.for	1112 Oncology and Carcinogenesis
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Sport, Exercise and Rehabilitation
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Human Performance Research Centre (HPRC)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-01-10T04:21:21Z
pubs.publication-status	Published
pubs.volume	73

Abstract:

PURPOSE: Cancer-related fatigue (CRF) is a prevalent and distressing symptom experienced by people affected by cancer. A breakdown of the clinician-patient partnership and suboptimal clinician communication has been identified as a significant barrier to implementing into clinical practice effective self-management strategies for CRF. This study examined the use and impact of communication practices employed by trained cancer nurse counsellors when providing CRF self-management support to cancer survivors. METHODS: Interactions from 41 telehealth consultations between three nurse counsellors and 23 cancer survivors in a CRF self-management support clinic in Queensland, Australia were recorded and analysed using conversation analysis methods. RESULTS: Analysis found that in instances where nurses established the agenda of a consultation from the outset of a session (e.g., focusing on fatigue self-management support), cancer survivors displayed clearer understandings of their self-management role, the tasks, and goals of a session; and displayed less difficulty engaging in supportive care discussions. Furthermore, clinicians used formulation practices, such as summarising dialogue, to sustain focus on fatigue during consultations, and to close discussion matters not ostensibly pertinent to fatigue self-management planning supporting the goals of the CRF SMS clinic consultations. CONCLUSION: For supportive care sessions targeting fatigue management, clinicians should ideally focus discussion on CRF support early, by clearly introducing the agenda at the outset of the consultation while also asking for client agreement. Periodically summarising patient's talk allows clinicians to maintain a focus on matters relevant for self-management fatigue planning and provide support within the typically constrained timeframes allocated for addressing CRF.

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http://hdl.handle.net/10453/183192